Skip to content

Advertisement

  • Poster presentation
  • Open Access

Implementation of a rapid HIV testing program in psychiatric inpatient wards

  • 1,
  • 1,
  • 1,
  • 1,
  • 1,
  • 1,
  • 1,
  • 1,
  • 1 and
  • 1
BMC Infectious Diseases201414(Suppl 2):P6

https://doi.org/10.1186/1471-2334-14-S2-P6

Published: 23 May 2014

Keywords

  • Injection Drug User
  • Abuse History
  • Sexual Abuse History
  • Mental Health Hospitalization
  • Public Health Advocate

Aim

According to New York State law, HIV testing must be offered to every patient aged 13-64. However, acute mental health hospitalizations can be difficult settings in which to conduct HIV screening. Because individuals with mental illness have higher rates of HIV infection, routine testing of stabilized patients in psychiatric inpatient wards could be beneficial. This study describes the implementation of a rapid HIV testing program in this nontraditional setting.

Methods

This prospective, descriptive study was conducted in a psychiatric inpatient ward over 22 days. A convenience sample of patients deemed to have capacity to consent by a team of physicians were recruited by Public Health Advocates (PHAs). PHAs collected demographic characteristics and risk factors during targeted counseling sessions. Chart reviews were conducted to assess psychiatric diagnoses and sexual/drug abuse history. Rates of test acceptances were tracked during the last 8 days of the study.

Results

346 patients were tested for HIV. Demographic characteristics of the participants were: 60.1% male, 43.4% Hispanic, and 40.5% Black. Mean age was 37.7 ± 12.8. 36.7% do not engage in regular medical care. As per CDC criterion, 27.7% of participants were high-risk for acquiring HIV. Risk factors were: multiple sex partners (21.7%), injection drug use (5.8%), sex for commodities (4.9%), sex with an injection drug user (3.5%), or sex with an HIV-positive partner (1.5%). Psychiatric diagnoses were: Schizophrenic/Psychotic/Affective (64.5%), Depression (15.0%), and Bipolar (14.2%). Drug abuse was noted in 31.2% of cases, and 7.5% reported sexual abuse history. One patient was confirmed HIV positive and linked to outpatient HIV care. In last 8 days of study, 240 of 322 consentable patients were offered the HIV test (74.5%), of which 149 accepted (62.1%).

Conclusion

A rapid HIV testing program with multidisciplinary staff buy-in can test a large number of patients in a psychiatric inpatient ward. Expansion of HIV screening initiatives to nontraditional settings can increase access to testing for high-risk populations that may not otherwise engage in primary care.

Authors’ Affiliations

(1)
Albert Einstein College of Medicine, Bronx, USA

Copyright

© Popiel et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Advertisement